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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 9, 1303-1305.
doi: 10.1302/0301-620X.87B9.15728  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Suturing of lacerations of skeletal muscle

J. F. Kragh, Jr, MD, Orthopaedic Surgeon1; S. J. Svoboda, MD, Orthopaedic Surgeon1; J. C. Wenke, PhD, Research Physiologist2; J. A. Ward, PhD, Research Physiologist3; and T. J. Walters, PhD, Research Physiologist2

1 Department of Orthopaedics and Rehabilitation
2 US Army Institute of Surgical Research, Bone and Soft Tissue Research Program, 3400 Rawley E. Chambers Avenue, Room 291-1 Building 3611, Fort Sam Houston, Texas 78234-6315, USA.
3 Department of Clinical Investigation, Brooke Army Medical Center, MCHE-DOR Room 129-5, Building 3600, 3851 Roger Brooke Drive, Fort Sam Houston, Texas 78234-6200, USA.

Correspondence should be sent to Dr J. F. Kragh; e-mail: john.kragh{at}amedd.army.mil

Our aim was to compare the biomechanical properties of suturing methods to determine a better method for the repair of lacerated skeletal muscle.

We tested Kessler stitches and the combination of Mason-Allen and perimeter stitches. Individual stitches were placed in the muscle belly of quadriceps femoris from a pig cadaver and were tensioned mechanically. The maximum loads and strains were measured and failure modes recorded. The mean load and strain for the Kessler stitches were significantly less than those for combination stitches. All five Kessler stitches tore out longitudinally from the muscle. All five combination stitches did not fail but successfully elongated.

Our study has shown that the better method of repair for suturing muscle is the use of combination stitches.




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B. D. Owens, J. C. Wenke, S. J. Svoboda, and D. W. White
Extremity Trauma Research in the United States Army
J. Am. Acad. Ortho. Surg., September 1, 2006; 14(10): S37 - S40.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General